Ch 25 Maternal Child Nursing Perry 5th edition
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MATERNAL CHILD NURSING PERRY 5TH EDITION CHAPTER 25
2022\2023
1. A pregnant woman at 37 weeks of gestation has had ruptured
membranes for 26 hours. A cesarean section is performed for failure to
progress. The fetal heart rate (FHR) before birth is 180 beats/min with
limited variability. At birth the newborn has Apgar scores of 6 and 7 at 1
and 5 minutes and is noted to be pale and tachypneic. On the basis of the
maternal history, the cause of this newborn's distress is most likely to be:
a. Hypoglycemia. c. Respiratory distress syndrome.
b. Phrenic nerve injury. d. Sepsis.: ANS: D
, Ch 25 Maternal Child Nursing Perry 5th edition
Study online at https://quizlet.com/_3gcdvl
The prolonged rupture of membranes and the tachypnea (before and after birth)
both suggest sepsis. An FHR of 180 beats/min is also indicative. This infant is at
high risk for sepsis.
2. The most important nursing action in preventing neonatal infection is:
a. Good handwashing. c. Separate gown technique.
b. Isolation of infected infants. d. Standard Precautions.: ANS: A
Virtually all controlled clinical trials have demonstrated that effective
handwashing is responsible for the prevention of nosocomial infection in nursery
units. Measures to be taken include Standard Precautions, careful and thorough
cleaning, frequent replacement of used equipment, and disposal of excrement
and linens in an appropriate manner. Overcrowding must be avoided in
nurseries. However, the most important nursing action for preventing neonatal
infection is effective handwashing.
, Ch 25 Maternal Child Nursing Perry 5th edition
Study online at https://quizlet.com/_3gcdvl
3. A pregnant woman presents in labor at term, having had no prenatal
care. After birth her infant is noted to be small for gestational age with
small eyes and a thin upper lip. The infant also is microcephalic. On the
basis of her infant's physical findings, this woman should be questioned
about her use of which substance during pregnancy? a. Alcohol c. Heroin
b. Cocaine d. Marijuana: ANS: A
The description of the infant suggests fetal alcohol syndrome, which is consistent
with maternal alcohol consumption during pregnancy. Fetal brain, kidney, and
urogenital system malformations have been associated with maternal cocaine
ingestions. Heroin use in pregnancy frequently results in intrauterine growth
restriction. The infant may have a shrill cry and sleep cycle disturbances and
present with poor feeding, tachypnea, vomiting, diarrhea, hypothermia or
, Ch 25 Maternal Child Nursing Perry 5th edition
Study online at https://quizlet.com/_3gcdvl
hyperthermia, and sweating. Studies have found a higher incidence of meconium
staining in infants born of mothers who used marijuana during pregnancy.
4. A plan of care for an infant experiencing symptoms of drug withdrawal
should include:
a. Administering chloral hydrate for sedation.
b. Feeding every 4 to 6 hours to allow extra rest.
c. Swaddling the infant snugly and holding the baby tightly.
d. Playing soft music during feeding.: ANS: C
The infant should be wrapped snugly to reduce self-stimulation behaviors and
protect the skin from abrasions. Phenobarbital or diazepam may be
administered to decrease central nervous system (CNS) irritability. The infant
should be fed in small, frequent amounts and burped well to diminish aspiration
Study online at https://quizlet.com/_3gcdvl
MATERNAL CHILD NURSING PERRY 5TH EDITION CHAPTER 25
2022\2023
1. A pregnant woman at 37 weeks of gestation has had ruptured
membranes for 26 hours. A cesarean section is performed for failure to
progress. The fetal heart rate (FHR) before birth is 180 beats/min with
limited variability. At birth the newborn has Apgar scores of 6 and 7 at 1
and 5 minutes and is noted to be pale and tachypneic. On the basis of the
maternal history, the cause of this newborn's distress is most likely to be:
a. Hypoglycemia. c. Respiratory distress syndrome.
b. Phrenic nerve injury. d. Sepsis.: ANS: D
, Ch 25 Maternal Child Nursing Perry 5th edition
Study online at https://quizlet.com/_3gcdvl
The prolonged rupture of membranes and the tachypnea (before and after birth)
both suggest sepsis. An FHR of 180 beats/min is also indicative. This infant is at
high risk for sepsis.
2. The most important nursing action in preventing neonatal infection is:
a. Good handwashing. c. Separate gown technique.
b. Isolation of infected infants. d. Standard Precautions.: ANS: A
Virtually all controlled clinical trials have demonstrated that effective
handwashing is responsible for the prevention of nosocomial infection in nursery
units. Measures to be taken include Standard Precautions, careful and thorough
cleaning, frequent replacement of used equipment, and disposal of excrement
and linens in an appropriate manner. Overcrowding must be avoided in
nurseries. However, the most important nursing action for preventing neonatal
infection is effective handwashing.
, Ch 25 Maternal Child Nursing Perry 5th edition
Study online at https://quizlet.com/_3gcdvl
3. A pregnant woman presents in labor at term, having had no prenatal
care. After birth her infant is noted to be small for gestational age with
small eyes and a thin upper lip. The infant also is microcephalic. On the
basis of her infant's physical findings, this woman should be questioned
about her use of which substance during pregnancy? a. Alcohol c. Heroin
b. Cocaine d. Marijuana: ANS: A
The description of the infant suggests fetal alcohol syndrome, which is consistent
with maternal alcohol consumption during pregnancy. Fetal brain, kidney, and
urogenital system malformations have been associated with maternal cocaine
ingestions. Heroin use in pregnancy frequently results in intrauterine growth
restriction. The infant may have a shrill cry and sleep cycle disturbances and
present with poor feeding, tachypnea, vomiting, diarrhea, hypothermia or
, Ch 25 Maternal Child Nursing Perry 5th edition
Study online at https://quizlet.com/_3gcdvl
hyperthermia, and sweating. Studies have found a higher incidence of meconium
staining in infants born of mothers who used marijuana during pregnancy.
4. A plan of care for an infant experiencing symptoms of drug withdrawal
should include:
a. Administering chloral hydrate for sedation.
b. Feeding every 4 to 6 hours to allow extra rest.
c. Swaddling the infant snugly and holding the baby tightly.
d. Playing soft music during feeding.: ANS: C
The infant should be wrapped snugly to reduce self-stimulation behaviors and
protect the skin from abrasions. Phenobarbital or diazepam may be
administered to decrease central nervous system (CNS) irritability. The infant
should be fed in small, frequent amounts and burped well to diminish aspiration
